Pre-hospital care providers (EMT’s or paramedics) should evaluate all children removed from a clandestine laboratory immediately to determine if they are truly asymptomatic. A truly asymptomatic child will likely not require immediate evaluation in the ED, but should see a primary care provider within 24 to 72 hours of removal, if feasible, from the laboratory for a complete assessment of health and developmental status. All symptomatic children and children not evaluated on scene by emergency medical personnel who are removed from a clandestine laboratory should be evaluated in the closest appropriate hospital ED. All children should receive continuing care in a medical home within 1 month.

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